You can always press Enter⏎ to continue
AZ Independence Solar
1
Can We Get A Name?
*
This field is required.
Enter First and Last Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Best Email Address?
*
This field is required.
Enter Email Address
example@example.com
Previous
Next
Submit
Press
Enter
3
What's a good phone number for you?
*
This field is required.
Please type your area code and phone number below:
(928) 555-5555
Previous
Next
Submit
Press
Enter
4
What type of system are you interested in?
*
This field is required.
Pick the option that best applies
Full solar installation
Battery back-up
Off-grid
Other
Previous
Next
Submit
Press
Enter
5
Can you provide your energy usage for the location in question for the past year?
*
This field is required.
Pick one option. If you select "Yes", you will be able to provide that on the next question.
Yes
No
Previous
Next
Submit
Press
Enter
6
What was your monthly total usage in KWH this past year? (part 1)
You can find the totals on your APS bill. Add any totals you have. If you have trouble finding, click NEXT to skip.
January
February
March
April
May
June
Previous
Next
Submit
Press
Enter
7
What was your monthly total usage in KWH this past year? (part 2)
You can find the totals on your APS bill. Add any totals you have. If you have trouble finding, click NEXT to skip.
July
August
September
October
November
December
Previous
Next
Submit
Press
Enter
8
What is the address for the solar project?
*
This field is required.
Type the full address below:
Previous
Next
Submit
Press
Enter
9
Will this be an off-grid project?
Select one, or click "NEXT" to skip
Yes
No
I'm not sure
Previous
Next
Submit
Press
Enter
10
Are you planning on adding any of the following items to your energy usage AFTER installing solar?
Select any that apply, or click "SUBMIT" to skip and complete the survey
An electric vehicle
A new or additional HVAC system
A hot tub or heated pool
An additional room or building
Other
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
10
See All
Go Back
Submit